Search Results (471)

Background: Medical resident burnout is a critical threat to healthcare workforce sustainability, with physical activity (PA) posited as a protective factor. This bibliometric analysis maps the global research landscape on this topic from 2005 to 2025. Methods: Systematic search of the Web of Science Core Collection identified 110 relevant English-language articles. Performance analysis and scientific mapping were conducted using R and VOSviewer. Results: The field saw an annual growth rate of 3.35%, with a peak of 16 publications in 2019. The United States was the dominant contributor, accounting for 68% of the total output. Analysis identified several major thematic areas, including stress and behavioral factors, occupational mental health, and institutional support mechanisms. The findings reveal a rapidly growing but geographically concentrated body of research, underscoring a significant gap in globally representative evidence. Conclusions: This analysis provides a foundational map for future research, underscoring the need for institutional wellness programs incorporating PA, international collaborative studies, and policy-level interventions. We conclude that integrating physical activity is not a luxury but a critical strategy for healthcare system sustainability. Full article

Online peer support platforms are vital, scalable resources for mental health, yet their effectiveness is frequently undermined by inefficient user matching, severe participation inequality, and subsequent “super-helper” burnout. This study introduces TrailMap, a novel peer-matching algorithm inspired by the decentralised foraging strategies of ant colonies. By treating user interactions as paths that gain or lose “pheromone” based on helpfulness ratings, the system enables the community to collectively and adaptively identify its most effective helpers. A two-phase validation study was conducted. First, an agent-based simulation demonstrated that TrailMap reduced the mean time to a helpful response by over 70% and improved workload equity compared to random routing. Second, a four-week randomised controlled pilot study with human participants confirmed these gains, showing a 76% reduction in median wait time and significantly higher perceived helpfulness ratings. The findings suggest that by balancing the workload, TrailMap enhances not only the efficiency but also the socio-technical sustainability of online support communities. TrailMap provides a practical, nature-inspired method for building more resilient and equitable online support communities, enhancing access to effective mental health support. Full article

Background: Family caregivers of patients with chronic diseases face high levels of burden, anxiety, and burnout, which may negatively affect both their well-being and patient outcomes. Low-cost, accessible telemedicine approaches may provide practical support in resource-limited settings. Methods: We conducted a prospective, parallel-group controlled study in Timisoara, Romania, between April 2024 and March 2025 and included 161 caregivers of older adults with chronic diseases, allocated 1:1 to receive either structured low-cost telemedicine support (weekly phone calls and SMS reminders; n = 82) or usual care (n = 79). Data were collected at baseline, three months, and six months through structured interviews. The primary outcome was caregiver burden measured by the Zarit Burden Interview (ZBI). Secondary outcomes included caregiver anxiety, burnout, satisfaction, and patient-related outcomes such as emergency room (ER) visits, hospital readmissions, and medication adherence. Analyses were performed using ANCOVA and logistic regression, adjusting for baseline values and relevant covariates. Results: At three months, caregivers in the intervention group had significantly lower burden scores compared to controls (adjusted mean difference −2.9; 95% CI −4.7 to −1.1; p = 0.002). Reductions in anxiety (−1.4; p = 0.02) and burnout (−1.6; p = 0.01) were also observed. These effects persisted at six months, though slightly attenuated. Patient outcomes favored the intervention: ER visits were lower at six months (27.50% vs. 41.02%; aOR 0.55, 95% CI 0.30–0.99; p = 0.047), while medication adherence and readmissions showed consistent but non-significant improvements. No adverse effects were reported. Conclusions: A simple, low-tech telemedicine program reduced caregiver burden, anxiety, and burnout and decreased ER visits. Improvements in medication adherence and readmissions were observed, but did not reach statistical significance. This pragmatic intervention can easily be integrated into primary care follow-up or community-based caregiver support programs, providing an affordable and low-cost technique to promote chronic disease management and caregiver well-being, especially in resource-limited health systems. Full article

English learning buoyancy is a proactive and adaptable capacity that allows academic growth. However, the relationship between buoyancy, burnout, engagement, and achievement in English learning remains complex and underexplored. Grounded in the control–value theory of achievement emotions and the situated expectancy–value theory, this study investigated the impact of buoyancy and academic achievement in language learning, especially the multiple mediating roles of burnout and engagement in between. The study involved 522 senior high school students in China, who learn English as a second language. Questionnaires were employed to assess their English learning buoyancy, burnout (i.e., demotivation and exhaustion), and engagement (i.e., behavioral and agentic engagement). Academic achievement was represented by their most recent English scores. The results demonstrate that English learning buoyancy predicts academic achievement through multiple indirect paths. Specifically, exhaustion and behavioral engagement each independently mediate this relationship, and a sequential mediating pathway was identified from burnout components to behavioral engagement. The study provides pedagogical implications for English teaching. Full article

The purpose of this cross-sectional study was to examine burnout profiles and organizational variables that impact burnout in school mental health providers, such as school counselors, school psychologists, social workers, and interventionists. We disseminated a survey to a large sample of school personnel across a Midwestern state. From the larger sample, we analyzed responses from school mental health providers (n = 120), as there are severe shortages of these professionals within the state and across the country. When shortages occur, caseloads are higher, thus increasing the work demands and the propensity for burnout. With burnout leading to attrition from the field, this creates a vicious cycle that could be prevented through the awareness and implementation of strategies to counteract the factors contributing to burnout. Results indicate school mental health providers (n = 120) in this state endure high levels of emotional exhaustion, while still maintaining a sense of personal accomplishment. Further, higher levels of perceived organizational support and job satisfaction appeared to lower burnout, whereas respondents who worked in schools implementing a multi-tiered system of support experienced higher burnout. Key findings, implications for practice, limitations, and future directions are discussed. Full article

Background: In response to the high prevalence of burnout in nursing, a hospital research team developed, studied, and implemented RISE (Resilience, Insight, Self-Compassion, Empowerment), a novel psychoeducational group program designed to reduce distress and promote well-being among professional caregivers, specifically nurses and nurse leaders. Pilot studies and randomized controlled trials showed positive results, and thus, the program was operationalized. Methods: This quality improvement/quality assurance (QI/QA) project involved scaling the program and gathering data to evaluate implementation and impact on well-being indicators. The intervention involves structured weekly (8–9 weeks) 90-min group sessions integrating mindfulness, cognitive-behavioral techniques, and acceptance and commitment therapy. Eight licensed mental health providers were trained and delivered the program. Implementation outcomes included adoption/stakeholder engagement, fidelity, provider satisfaction, participant engagement, and sustainability. Participant outcomes were measured through validated scales and participant feedback forms. The implementation process was examined at the participant, provider, and organizational levels to identify barriers and enabling factors. Results: The program was implemented in seven acute care hospitals. From January 2023 to December 2024, 160 participants completed the program. Effective implementation strategies included intensive training and supervision of qualified providers, multi-departmental collaborations, and rigorous fidelity monitoring. Quality improvement processes addressed challenges such as early attrition and administrative burden. Evaluation data from pre- and post-intervention surveys demonstrated statistically significant improvements in psychological outcomes, with high satisfaction reported by both participants and providers. Conclusion: The findings support the effective implementation of the program as part of a broader organizational strategy to address nurse burnout and workforce mental health. Lessons, implications, and future directions for healthcare leaders are discussed. Full article

Background/Objectives: Virtual reality (VR) is increasingly being used in educational settings, but the evidence is mixed on whether this is better for learners. This is due in part to a reliance on self-reported “liking” of the experience rather than measuring if VR more effectively improves learner engagement and conveys information. A study was designed to determine if VR would improve nursing students’ understanding of patient interactions in the clinic (n = 70). Methods: The present study measured neurologic Immersion in nursing students during a realistic patient journey in VR and in a standard two-dimensional (2D) film. After the film, participants in both conditions had the opportunity to volunteer to help other students as a measure of the behavioral impact of the experience. Results: The analysis showed that VR generated 60% more neurologic value than the 2D film, and, by increasing empathic concern, positively influenced the decision to volunteer. Conclusions: Empathy has been shown to improve patient care while reducing healthcare provider burnout, and our findings suggest that VR that sustains neurologic Immersion should have a larger place in clinician education. Full article

The Spanish Burnout Inventory (SBI) is one of the most widely used instruments for assessing burnout in Latin America, and several European countries. Based on a theoretical model, the SBI comprises 20 items distributed across four dimensions: Enthusiasm Toward the Job, Psychological Exhaustion, Indolence, and Guilt. Unlike traditional frameworks, the SBI incorporates guilt as a central factor, providing a more comprehensive understanding of burnout. The present study aimed to validate the French version of the instrument (SBI-FR) in a sample of 373 French teachers. Confirmatory factor analysis (CFA) supported the adequacy of the four-factor structure with satisfactory fit indices (RMSEA = 0.057, 90% CI, GFI = 0.911, NFI = 0.909, CFI = 0.948, AIC = 451.824). All items showed acceptable psychometric properties, and reliability coefficients were adequate across the four dimensions. These results support the SBI-FR as a valid and reliable tool for assessing burnout among teachers in France. Furthermore, the inclusion of guilt contributes to theoretical advances in the conceptualization of burnout, enabling the distinction between guilt-prone and non-guilt-prone profiles. Overall, this study offers empirical evidence for the cross-cultural applicability of the SBI and highlights its relevance as an alternative instrument for diagnosing burnout, particularly in educational settings. Full article

Background: The number of students with Specific Learning Disorders (SLDs) in universities has recently increased. Thus, it is important to analyze their difficulties throughout their academic studies and propose adequate interventions to prevent emotional problems and dropout. Previous research has reported higher levels of internalizing problems (anxiety and depression) in students with SLDs compared to those with typical development. Surprisingly, academic burnout among students with SLDs remains a largely overlooked and under-researched issue. The present work is one of the first studies that seeks to address this critical gap by examining the levels of academic burnout, and exploring its relationship with depression and anxiety in university students both with and without SLDs. Methods: The sample included 120 university students (M = 42, F = 78; mean age = 21.16, SD = 2.26). Of these, 60 students had SLDs and 60 had typical development (TD). Students were asked to complete three questionnaires assessing burnout (BAT-C), depression (BDI-II), and anxiety (STAI-Y). Results: The comparison between groups revealed that students with SLDs reported significantly higher levels of total burnout (mean difference = −3.98, t[118] = −2.59, p = 0.011, d = 0.47) and trait anxiety (mean difference = −2.87, t[118] = −2.73, p = 0.007, d = 0.50), with a moderate effect size for both differences. They also exhibited greater cognitive impairment related to burnout (U = 2333.50, p = 0.006, r = 0.25). No group differences were found in depression. Path analyses showed that while trait anxiety mediated the burnout–depression link in both groups, state anxiety was a significant mediator only for students with SLDs (β = 0.22, p = 0.025). Conclusions: The findings provide new evidence of the importance of monitoring academic burnout and anxiety in students with SLDs. The results show that anxiety plays a crucial mediating role between burnout and depression in students with SLDs, reinforcing the need for specific psychological support programs in universities. Full article

This paper propose a practical field-based screening protocol for evaluating the risk of hamstring injury. This is done by discerning the most important factors that better explain the underlying structure among various measurements. Following a cross-sectional study design, ninety-nine professional and semi-professional football players were assessed at the team’s facilities during the preseason period. The collected data included aspects of demographic characteristics; previous injuries; athlete sense of burnout (Athlete Burnout Questionnaire (ABQ)); hamstring (HS) flexibility (passive single leg raise test); isometric hamstring strength (make and brake test); isometric quadriceps strength; single-leg triple hop for distance; endurance of the core muscles (prone bridge, side bridge and Biering–Sørensen tests); and hamstring strength endurance (single leg hamstring bridge test). Subsequently, Exploratory Factor Analysis was performed. Following a summarized dimension reduction process, the twenty-three assessment variables were grouped into a parsimonious model of six main risk factors. Specifically, the resulting model explains 55.7% of the total variance, comprising HS and core endurance (20.2% of the variance), HS strength (12.8%), previous injuries (8.9%), ABQ (5.8%), lower limb strength (4.1%), and strength limb symmetry (3.8%). The proposed model provides a practical protocol, facilitating sports scientists in evaluating the risk for HI in the highly complex reality of field-based situations. Full article

Background/Objectives: The child and adolescent mental health service (CAMHS) hand-over to adult mental health service (AMHS) remains an ongoing shortfall in eating disorder (ED) treatment, typically in tandem with diagnostic drift, heightened suicide risk, and carer burn-out. We created one 14-to-25 Transition—ED track within our own unit, where a single multidisciplinary team continuously follows each patient and family across the CAMHS–AMHS boundary (via weekly joint paediatric and adult clinician meeting) without changing the individual psychotherapist, family therapist, or dietitian at the age 18 transition. We investigated the manner in which patients and parents perceive this model. Methods: A survey of two naturalistic parent cohorts—CAMHS (n = 16) and Transition—Adult arm (n = 15)—also joined, alongside the original group of young adults who had entered the programme during its set-up phase (n = 9). Here, the 14–25 pathway denotes one unified route of care across adolescence and young adulthood; the Transition—Adult arm is its ≥ 18-years component. All index patients had a primary DSM-5-TR diagnosis of restricting-type anorexia nervosa. Participants completed the Client Satisfaction Questionnaire-8 (CSQ-8; range 8–32) and four bespoke Continuity-of-Care items (1–4 Likert). Results: Overall, the caregivers in both cohorts were pleased (median CSQ-8 = 28.5 [CAMHS] vs. 27.0 [Transition]; p = 0.75). Continuity items were universally well rated across cohorts. Cohort parents reported a median of two unchanged core clinicians (i.e., the individual psychotherapist, the family therapist, or the dietitian), which was nonsignificantly positively correlated with CSQ-8 scores (ρ = 0.22). Early-group patients mirrored caregiver impressions (mean CSQ-8 = 27.0 ± 3.9). Conclusions: It is feasible and highly acceptable to both caregivers and anorexia nervosa young adults to have the same key staff and family-centred sessions over the 14-to-25 age span. Constrained by single-site study and small sample size, these preliminary data provide a rationale for wider implementation and controlled follow-up studies. Full article

Background: Dental professionals are particularly susceptible to occupational stress and burnout, which are amplified during armed conflicts. Civilian dentists continuing to provide care under wartime conditions face unique psychological challenges. This study aimed to evaluate their psychological wellbeing and professional quality of life during military conflict. Methods: A cross-sectional study was conducted using an anonymous online questionnaire distributed through the national dental association. The survey included the Professional Quality of Life Scale (ProQOL, version 5) to assess compassion satisfaction, burnout, and secondary traumatic stress; and the Generalized Anxiety Disorder 7-item scale (GAD-7) to measure anxiety severity. Additional items captured demographic information, professional experience, pre-conflict workload, current work status, family circumstances, and subjective financial impact. The final sample included 239 civilian dentists. Statistical analysis included descriptive statistics, Pearson correlations, chi-square tests for categorical variables, Mann-Whitney U and Kruskal-Wallis tests for between-group comparisons, and multiple regression to identify predictors of psychological outcomes. Results: High compassion satisfaction was reported by 38.9% of respondents, while 70.3% exhibited average burnout levels; only 0.4% had high burnout. Secondary traumatic stress was low in 85.4% of participants. Minimal anxiety was found in 54% of respondents. Significant correlations were found between professional satisfaction and lower anxiety (p < 0.001), lower burnout (p < 0.001), and higher compassion satisfaction (p < 0.001). Dentists with more years of experience and older age reported lower anxiety and burnout levels. Higher pre-conflict workloads were associated with increased anxiety during the conflict (p < 0.001). Dentists working in Health Maintenance Organizations (HMOs) reported significantly higher anxiety levels compared to their non-HMO counterparts (p = 0.022), although reported income loss was similar between groups. Conclusions: Civilian dentists demonstrated resilience and overall positive professional functioning during prolonged conflict. However, public sector dentists, especially those in HMOs, showed greater vulnerability to anxiety. These findings underscore the need for systemic strategies to support dental professionals’ mental health during national crises, with emphasis on those in the public health system. Full article

Background: In light of the concerning increase in burnout among healthcare professionals, it is essential to identify the specific factors that contribute to this phenomenon and can be addressed. This narrative review synthesizes evidence on the relationship between burnout and emotional intelligence (EI) among healthcare professionals, alongside additional factors that may influence both concepts. Methods: A structured search in OVID, PubMed, Medline, Scopus, and Web of Science (2000–2024) was conducted. The inclusion criteria were English language and peer-reviewed studies assessing both burnout and EI in healthcare professionals. The exclusion criteria were non-English papers, studies without EI–burnout correlation, or involving non-healthcare populations. Thirty-one eligible studies were included in this analysis. Results: The findings suggest a consistent inverse correlation between EI and burnout across various healthcare professionals, including doctors, nurses, and residents. Higher EI was associated with reduced levels of emotional exhaustion and depersonalization and a greater sense of personal accomplishment. Burnout was found to be prevalent among younger healthcare workers, particularly residents, with contributing factors including exposure to workplace violence, high workload, and diminished psychological ownership. In contrast, associations that suggest protective influences on emotional intelligence included spiritual intelligence, self-control, income, and healthy habits, such as sufficient sleep and physical activity. Conclusions: This narrative review highlights a consistent inverse association between EI and burnout in healthcare professionals. Given that both burnout and EI are affected by adjustable individual and organizational elements, specific interventions aimed at enhancing EI and improving workplace conditions may provide effective techniques to boost clinician occupational well-being and performance. Full article

In an era when AI systems curate increasingly fine-grained aspects of everyday media use, understanding algorithmic fatigue and resistance is essential for safeguarding user agency. Within the horizon of a more algorithmic and hyper-personalized advertising environment, knowing how people resist algorithmic advertising is of immediate importance. This research formulates and examines a structural resistance model for algorithmic advertising, combining psychological and cognitive predictors such as perceived ad fatigue (PAF), digital well-being (DWB), advertising literacy (ADL), and perceived relevance (PR). Based on a cross-sectional survey of 637 participants, the research employs Partial Least Squares Structural Equation Modeling (PLS-SEM) and mediation and multi-group analysis to uncover overall processes and group-specific resistance profiles. Findings show that DWB, ADL, and PR are strong positive predictors of resistance to persuasion, while PAF has no direct effect. PAF has significant indirect influences through both PR and ADL, with full mediation providing support for the cognitive filter function of resistance. DWB demonstrates partial mediation, indicating that it has influence both directly and through enhanced literacy and relevance attribution. Multi-group analysis also indicates that there are notable differences in terms of age, gender, education, social media consumption, ad skipping, and occurrence of digital burnout. Interestingly, younger users and those who have higher digital fatigue are more sensitive to cognitive mediators, whereas gender and education level play a moderating role in the effect of well-being and literacy on resistance pathways. The research provides theory-informed, scalable theory to enhance the knowledge of online resistance. Practical implications are outlined for policymakers, marketers, educators, and developers of digital platforms based on the extent to which psychological resilience and media literacy underpin user agency. In charting resistance contours, this article seeks to maintain the voice of the user in a world growing increasingly algorithmic. Full article

The rapid advancement in information and communication technologies (ICT) has improved workplace productivity but also introduced new psychosocial stressors. Workplace telepressure, the urge to respond quickly to work-related messages sent via digital communication tools, often erodes employees’ psychological well-being and blurs work–life boundaries. This study, grounded in the Job Demands–Resources (JD-R) model, investigates the influence mechanism between workplace telepressure and job burnout. Using data collected from 323 middle school teachers in China, results revealed that workplace telepressure significantly predicted job burnout. In addition, work-related rumination partially mediated this relationship, indicating a cognitive mechanism linking telepressure and burnout. Furthermore, perceived organizational support moderated the relationship between work-related rumination and job burnout. Specifically, when perceived support was high, the impact of rumination on burnout was weakened. These findings provide theoretical insights and practical implications for fostering healthy work environments and promoting psychological well-being in the digital era. Full article